| NPI | 1568804326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 23295) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: CA 4006) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2018-01-23 |