| NPI | 1801110234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 19329) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3886) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170368) | |
| Enumeration Date | 2010-03-14 |
| Last Update Date | 2015-12-29 |