| NPI | 1992905673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 21485) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9304930) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30007741) | |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2012-03-30 |