| NPI | 1942378690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 559889) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC 5006629) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2015-08-24 |