| NPI | 1619075272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8117) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 16004) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2017-05-11 |