| NPI | 1750913489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61028185) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR 201907158NP-PP) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-09-28 |