| NPI | 1780295980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10005305) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA RN61084245) |
| 207Q00000X Family Medicine (Licence: WA AP61084248) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 202002277RN) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA 390200000X) | |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2023-04-13 |