| NPI | 1518194091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95002345) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F335854-1) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2015-11-19 |