| NPI | 1558553693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30007648) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 200750023NP) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2017-02-20 |