| NPI | 1164287751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61517954) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR 10006831) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA AP61517954) | |
| Enumeration Date | 2024-02-14 |
| Last Update Date | 2024-02-19 |