| NPI | 1912268145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 13708) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 515952) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2020-01-29 |