| NPI | 1083692206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006867) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201807234NP-PP) |
| 363LF0000X Nurse Practitioner, Family (Licence: MT 170561) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 168109) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP30006867) | |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2021-01-21 |