| NPI | 1851610158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP 19603) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN 1230) |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2010-05-26 |