| NPI | 1649531112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202004535NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA ap61058632) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2025-09-23 |