| NPI | 1487814638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APN001041) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 18521) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2019-01-08 |