| NPI | 1891000857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 20134) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MT 68564) |
| Enumeration Date | 2010-08-15 |
| Last Update Date | 2015-02-10 |