| NPI | 1144570508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201250137NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61113937) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2020-12-28 |