| NPI | 1922538651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95020014) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 22779) |
| 363L00000X Nurse Practitioner (Licence: KY 3011854) | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2024-03-25 |