| NPI | 1619957990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR MD0118364) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00105798) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP30003195) | |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2023-07-17 |