| NPI | 1457876633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60787604) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: OR 201706323NP-PP) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2025-09-05 |