| NPI | 1407429814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202111426NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AANPCB0944051) |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2022-04-26 |