| NPI | 1932535283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 23820) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 5522) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2013-12-10 |