| NPI | 1710157490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 18777) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71002600A) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2012-02-23 |