| NPI | 1346346152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 327746) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 3206802) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2017-03-08 |