| NPI | 1417385949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9287546) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9287546) |
| 163W00000X Registered Nurse (Licence: NY 476072-1) | |
| 163W00000X Registered Nurse (Licence: WA RN00137341) | |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2016-06-09 |