| NPI | 1669419354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4482) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 6663) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2013-09-25 |