| NPI | 1679770283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM RN-70132, CNP01545) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA RN438237) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2013-03-19 |