| NPI | 1629203005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA 05950) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60698861) |
| 163W00000X Registered Nurse (Licence: LA 81823) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95008785) | |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2021-04-22 |