| NPI | 1689013559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP23575) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 708291) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2022-07-21 |