| NPI | 1174653117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5255) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 9540) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2018-09-06 |