| NPI | 1306889969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200350146NP FNP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT 39626) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-01-23 |