| NPI | 1558395616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 082491-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA RN540061; NP9788) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-11-19 |