| NPI | 1679097356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201806040NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WA AP60777557) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2020-07-07 |