| NPI | 1558493536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA RN388522) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 6700) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2019-06-30 |