| NPI | 1013292952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201500942NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60159025) |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2023-10-30 |