| NPI | 1619978467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 17829) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA np17829) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2023-08-16 |