| NPI | 1073648234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60143755) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV apn000705) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201050212NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7368) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2016-01-24 |