| NPI | 1578701207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95007570) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: UT 223016-4405) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2022-09-16 |