| NPI | 1568704591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 307554) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 22488) |
| Enumeration Date | 2013-03-15 |
| Last Update Date | 2022-04-07 |