| NPI | 1720582315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201701619np) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61156698) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61156698) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201701619NP-PP) | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2023-04-26 |