| NPI | 1508012568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201250199NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60028966) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2021-01-29 |