| NPI | 1992813315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9323586) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP 12000) |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2015-04-17 |