| NPI | 1962594341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR OR 076036552N3) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA WA AP30004881) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-12 |