| NPI | 1730661075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60892536) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA 60892536) |
| 363L00000X Nurse Practitioner (Licence: OR 10022346) | |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2025-04-01 |