| NPI | 1720292212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 537856) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA NP13008) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2010-05-19 |