| NPI | 1487951596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 716092) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 716092) |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2011-02-25 |