| NPI | 1285707109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 19627) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 206170-4405) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2013-03-17 |