| NPI | 1497723159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 302452) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30005769) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 200750047NP) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2007-10-27 |