| NPI | 1316378110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 201392016NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WA AP60399133) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2015-05-27 |