| NPI | 1629061866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 094006332N1 FNP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP 30003543) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2013-09-13 |