| NPI | 1699794313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 079043011N3ANP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 079043011RN) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2013-01-18 |