| NPI | 1306394952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95004954) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 95004954) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2018-03-17 |