| NPI | 1649363433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60430886) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA Ca 14687) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201150021NP) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2016-02-12 |