| NPI | 1710447966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61385905) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201807162NP-PP) |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2023-04-17 |