| NPI | 1780823526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 19166) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F335774) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2015-09-03 |