| NPI | 1578815783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 202002885NP-PP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95009439) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 721070) | |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2024-11-02 |