| NPI | 1053861161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60680756) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OR 201507391NP-PP) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2021-06-22 |