| NPI | 1891779880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 448180) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 448180) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2016-12-27 |