| NPI | 1356538631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 17060) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F3355121) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2016-02-24 |