| NPI | 1700195591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60555989) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201050139NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60555989) | |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2024-04-19 |