| NPI | 1205419249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61109680) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 202009854NP-PP) |
| 363L00000X Nurse Practitioner (Licence: WI 10505-33) | |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2023-11-14 |