| NPI | 1811928187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR 202102582NP-PP) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: WA AP30005828) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP30005828) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2022-03-02 |