| NPI | 1427169762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 20390) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F334934-1) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-07-10 |