| NPI | 1447448279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200850001NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 327) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2016-02-12 |