| NPI | 1730748732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202007157NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61096051) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2025-09-25 |