| NPI | 1447507462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60909585) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.13918-NP) |
| 363L00000X Nurse Practitioner (Licence: OR 201506660NP-PP) | |
| 363L00000X Nurse Practitioner (Licence: OH 335437) | |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2021-01-14 |