| NPI | 1275634255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61201642) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201701724NP-PP) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2022-09-01 |