| NPI | 1326171984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 12394) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA RN487057) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2015-10-22 |