| NPI | 1033190582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID NP-1427) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP9920) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2018-10-26 |