| NPI | 1750391512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 5263) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F-300616-1) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2015-10-12 |