| NPI | 1265494587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006176) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 200250032NP) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2014-02-18 |