| NPI | 1992887459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 262965) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP14623) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2021-11-29 |