| NPI | 1215716675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP70148010) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 10063068) |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2026-08-20 |