| NPI | 1467497073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201250055NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30004072) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2021-03-18 |