| NPI | 1851923320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61041918) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 202003125NP-PP) |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2021-03-25 |