| NPI | 1326737735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10008926) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61432615) |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2023-06-06 |