| NPI | 1740260983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV 000901) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 346540 NP 8437) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2017-02-01 |