| NPI | 1639221609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200950008NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 375372) |
| 363L00000X Nurse Practitioner (Licence: IN 71000684A) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2017-11-21 |