| NPI | 1215439922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA Ap60838565) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 10007229) |
| 363L00000X Nurse Practitioner (Licence: CA 95031444) | |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2024-09-10 |