| NPI | 1356690549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 31800) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95028658) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 5001-33) | |
| Enumeration Date | 2012-09-03 |
| Last Update Date | 2024-02-01 |