| NPI | 1386674992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP1406) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP15442) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2023-05-08 |