| NPI | 1285818864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024169493) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 17880) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2017-04-03 |