| NPI | 1548937758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61128481) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 202100197NP-PP) |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2022-09-28 |