| NPI | 1265886485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA N361101565) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201601939NP-PP) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2020-11-04 |