| NPI | 1578521480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 14825) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 333733) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2007-07-08 |