| NPI | 1366054819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 10007948) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: OR 201803611RN) |
| 363LF0000X Nurse Practitioner Family (Licence: WA AP61430793) | |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2024-07-17 |