| NPI | 1679776017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APN00389) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP6086) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CA NP6086) | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2011-11-02 |