| NPI | 1396162905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ID np-1374A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 23664) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: ID NP1374a) | |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2023-03-07 |