| NPI | 1932134673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9314409) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA CA282535) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2014-05-22 |