| NPI | 1164912267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 16424) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 570411) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2022-05-12 |