| NPI | 1649258849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024168494) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA ARNP 30006389) |
| 363LF0000X Nurse Practitioner, Family (Licence: HI APRN 769) | |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2010-02-17 |