| NPI | 1831198597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 19585) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 3304052) |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2013-02-05 |