| NPI | 1043649908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: OR 201910414NP-PP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 23638) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2020-08-26 |