| NPI | 1538484381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 201502583NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WA AP60146972) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2015-06-08 |