| NPI | 1376878165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201250214NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 19158) |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2022-12-22 |