| NPI | 1790870129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006888) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP0006888) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201801849NP-PP) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2022-12-29 |