| NPI | 1457015729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA F09211520) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 202111624NP-PP) |
| Enumeration Date | 2021-10-23 |
| Last Update Date | 2025-09-09 |