| NPI | 1588948210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 21693) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 336999) |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2014-11-18 |