| NPI | 1437530656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201710044NPPP) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA AP60623651) |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 111815) | |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2018-03-27 |