| NPI | 1144409699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 20157) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 003693) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 003693) | |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2020-09-16 |