| NPI | 1497881247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 19403) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R122240) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2011-05-03 |