| NPI | 1033101209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006509) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 200550106NP) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2022-12-12 |