| NPI | 1669440731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 18267) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP1823482) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 311650) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 1823482) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 0102117) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2016-05-10 |