| NPI | 1831445220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60408788) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME CNP121062) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP60408788) | |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2013-10-28 |