| NPI | 1225208333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60004966) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 200850026NP FNP-PP) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-09-26 |