| NPI | 1043722523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60785562) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201709200NP-PP) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP134411) | |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2021-08-28 |