| NPI | 1740467174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 19311) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 335383) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2010-06-17 |