| NPI | 1952563819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201507841NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 275124) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2015-12-07 |