| NPI | 1396078937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201508115NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60571041) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 335825) | |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2022-10-10 |