| NPI | 1265585079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP2812) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 213839) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2013-04-11 |