| NPI | 1275630048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP18742) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 000030160RN) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 000030160N3) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2010-01-07 |