| NPI | 1699267963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202108299NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60766318) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA ap60909323) | |
| Enumeration Date | 2018-06-03 |
| Last Update Date | 2022-04-05 |