| NPI | 1578531646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 000032737N3) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: HI APRN-3153) |
| 363L00000X Nurse Practitioner (Licence: WA AP30002264) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2021-07-02 |