| NPI | 1063782209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 21524) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 21524) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2023-03-02 |