| NPI | 1689768160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 19266) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MA 266940) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2022-07-08 |