| NPI | 1376085621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.022268) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.401887) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: WA RN60835559) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60836235) | |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2021-05-04 |