| NPI | 1992258172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP95023542) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: LA AP08965) |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2024-01-03 |