| NPI | 1013999184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30004296) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: HI APRN759) |
| 363L00000X Nurse Practitioner (Licence: HI RX167) | |
| 363L00000X Nurse Practitioner (Licence: WA AP30004296) | |
| 363L00000X Nurse Practitioner (Licence: ID NP359A) | |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2015-08-14 |