| NPI | 1992335277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CA NP95019747) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 309550) |
| Enumeration Date | 2020-01-25 |
| Last Update Date | 2024-02-01 |