| NPI | 1992730238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 425721) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 425721) |
| 163WG0000X Registered Nurse, General Practice (Licence: AZ RN112310) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2017-09-05 |