| NPI | 1417057183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006981 050) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 200550036NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 658563) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 115687) | |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2018-07-15 |