| NPI | 1417555871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202204181NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61063870) |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2025-10-10 |