| NPI | 1528215076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 12652) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 10091) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2024-04-22 |