| NPI | 1851561054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CA NP95001845) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: LA RN072105-AP05406) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2016-08-18 |