| NPI | 1992767628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CA 270597) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 270597) |
| 363LC1500X Nurse Practitioner Community Health (Licence: CA 270597) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: CA 270597) | |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2007-07-08 |