| NPI | 1073735163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 332355) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 332355) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |