| NPI | 1457984049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10030693) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00150116) |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2024-10-16 |