| NPI | 1811207723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 21280) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 801148) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2020-03-30 |