| NPI | 1194034330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95010801) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 172835) |
| 363LF0000X Nurse Practitioner, Family (Licence: NV RN96625) | |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2019-02-25 |