| NPI | 1982087680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 847569) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95003115) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2018-10-16 |