| NPI | 1396070512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 18607) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R174895) |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2011-10-12 |