| NPI | 1528439916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA 60605387) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201604868) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2023-03-07 |