| NPI | 1891800686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NP17718) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT Pending) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2015-08-17 |