| NPI | 1437774338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61073449) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 10022236) |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2025-10-24 |