| NPI | 1972780476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 273368-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 17304) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2019-10-28 |