| NPI | 1760416325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: WA AP30003269) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WA AP30003269) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: OR 200250171NP) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2024-06-17 |