| NPI | 1528098217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95000770) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024127996) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC000700) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1021524) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2014-06-13 |