| NPI | 1922114693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 16563) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 326369) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2018-04-18 |