| NPI | 1598774275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: ID NP-208A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CA NP12962) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2012-11-28 |