| NPI | 1306210760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10020578) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA 10020578) |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2026-08-27 |