| NPI | 1073805180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95000583) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY f305624) |
| Enumeration Date | 2011-05-08 |
| Last Update Date | 2019-10-24 |