| NPI | 1134475148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201508399NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60616108) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60616108) | |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2018-03-17 |