| NPI | 1265767479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60107883) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 200950137NP) |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2020-12-03 |