| NPI | 1497187462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 95001323) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MA 2287844) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2022-11-14 |