| NPI | 1568773422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201050091NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP 60393342) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2022-07-21 |