| NPI | 1447401500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201050102NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 1824) |
| 363L00000X Nurse Practitioner (Licence: NE 110995) | |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2013-07-01 |