| NPI | 1801980958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30004836) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201501333NP-PP) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-09-18 |