| NPI | 1609207398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020305) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60246551) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60427029) | |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2021-12-13 |