| NPI | 1760779433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 356907) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: CA 356907) |
| 364SP0200X Clinical Nurse Specialist Pediatrics (Licence: CA 356907) | |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2011-07-01 |