| NPI | 1154639482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 22678) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 4492) |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2015-03-13 |