| NPI | 1992767628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| 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 |