| NPI | 1891928651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 22222) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F336037-1) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2013-08-08 |