| NPI | 1295185585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60802423) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201709784NP-PP) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2022-01-04 |