| NPI | 1124527809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61271257) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201900882NP-PP) |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2024-02-15 |