| NPI | 1710960604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP00802) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OR 081000105RN) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 200250125NP FNP-PP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60004124) | |
| 163W00000X Registered Nurse (Licence: NM R37016) | |
| 163W00000X Registered Nurse (Licence: WA RN00056320) | |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2013-08-14 |