| NPI | 1639232978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201050103NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00165516) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2024-05-31 |