| NPI | 1598473738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10050971) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP70061773) | |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2026-01-16 |