| NPI | 1497788012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 201703379NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: HI APRN827) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2017-05-30 |