| NPI | 1881006997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201503484NP-PP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 18155) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 18155) | |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2015-06-09 |