| NPI | 1467818294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NP95005018) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 9366271) |
| Enumeration Date | 2016-01-09 |
| Last Update Date | 2016-11-16 |