| NPI | 1518935915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200850031NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 473623) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2009-07-08 |