| NPI | 1407163884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 20662) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R181231) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2017-03-13 |