| NPI | 1730338658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201391680NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN100468) |
| 363L00000X Nurse Practitioner (Licence: AZ AP3186) | |
| 163W00000X Registered Nurse (Licence: AK 30947) | |
| 363L00000X Nurse Practitioner (Licence: AK 1127) | |
| 163W00000X Registered Nurse (Licence: OR 201391679RN) | |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2014-01-02 |