| NPI | 1952325458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201250200NP-PP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: ID NP898-a) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2016-12-08 |