| NPI | 1730275710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NM R58901) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 18338) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2025-11-13 |