| NPI | 1407161318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201150187NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60311640) |
| 363L00000X Nurse Practitioner (Licence: UT 8454302-4405) | |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2014-03-07 |