| NPI | 1972767077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 17386) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MD R179437) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2015-03-12 |