| NPI | 1548517105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10023706) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60306424) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA RN00172506) | |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2025-11-20 |