| NPI | 1902106214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R250576) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP19978) |
| 363L00000X Nurse Practitioner (Licence: CA RN707392) | |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2024-12-16 |