| NPI | 1619106614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 18255) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP3700) |
| Enumeration Date | 2009-07-11 |
| Last Update Date | 2019-08-12 |