| NPI | 1851317598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 095006656N1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30005364) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2011-11-11 |