| NPI | 1457420945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP 17642) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 160601) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2015-07-21 |