| NPI | 1518775659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61641572) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 10036246) |
| Enumeration Date | 2024-12-20 |
| Last Update Date | 2024-12-20 |