| NPI | 1942637434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95016517) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 054898-23) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2022-06-28 |