| NPI | 1275160111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP61585524) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 202000212RN) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2024-07-24 |