| NPI | 1275019150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024178416) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 819743) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 819743) | |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2021-02-10 |