| NPI | 1710033782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 078040195ANPPP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30007622) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-07-08 |