| NPI | 1871609628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 090006343N1 FNP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30003452) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2007-07-26 |