| NPI | 1275904047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95017210) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704270369) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2022-04-27 |