| NPI | 1548538333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 21509) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ AP4927) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2017-02-03 |