| NPI | 1083907273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA 60386233) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201391810NP-PP) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2013-08-21 |