| NPI | 1689990368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201050189) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA 60226348) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2021-12-28 |