| NPI | 1568583128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA RN549095NP17988) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP007966) |
| 163W00000X Registered Nurse (Licence: WA RN60266552) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2012-04-11 |