| NPI | 1659062214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61498589) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61498589) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10016042) | |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2024-10-03 |