| NPI | 1902835275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200850013NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APN000896) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60048456) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2014-08-14 |