| NPI | 1194098756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201602725NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP 60257166) |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2023-08-30 |