| NPI | 1205218096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP70100416) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 10057808) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2026-03-04 |