| NPI | 1124234992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN001568) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30007307) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NP23219) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2014-10-31 |