| NPI | 1033151667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 200550108NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 200550107NP) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30007105) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP30007105) | |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2016-06-21 |