| NPI | 1629327259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: CA 22044) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: CA 22044) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2023-03-27 |