| NPI | 1376852467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60053122) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95027884) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 05894-NP) | |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2023-11-17 |