| NPI | 1942430442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95019022) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 10042) |
| 363L00000X Nurse Practitioner (Licence: CO 126073) | |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2024-07-22 |