| NPI | 1871800615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201250033) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60268388) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2021-06-18 |