| NPI | 1679808109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8932) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 19402) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2020-08-03 |