| NPI | 1366953077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201708884NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60793279) |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2024-04-16 |