| NPI | 1710386123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60708435) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9201429) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201502243NP) | |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2022-10-03 |