| NPI | 1730100918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 117226) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 517511) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2022-04-05 |