| NPI | 1609232248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60709617) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201600224NP-PP) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2020-01-14 |