| NPI | 1588218580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60986170) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 10023216) |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2025-10-21 |