| NPI | 1649605361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60778917) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201391681NP-PP) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2018-03-17 |