| NPI | 1770514697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 14566) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APN000812) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2016-09-23 |