| NPI | 1811128531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 21877) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: KY 5079P) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2021-08-13 |