| NPI | 1366757627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MT 24067) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 538746) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2022-02-24 |