| NPI | 1710126578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 080045966N3-ANP-PP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA 30007550) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2012-05-16 |