| NPI | 1568715399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201250125NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN1486) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA 60303906) | |
| 363LF0000X Nurse Practitioner, Family (Licence: HI RX464) | |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2019-03-18 |