| NPI | 1508218884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10013414) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60677453) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2025-02-27 |