| NPI | 1942474283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 18193) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F335471) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201506044NP-PP) | |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2015-09-15 |