| NPI | 1427471275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60401486) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 20139195NP) |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2022-08-29 |