| NPI | 1518083740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024168418) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP9259) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2009-09-24 |