| NPI | 1730447459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 21229) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP21229) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2015-07-16 |