| NPI | 1881381267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10033590) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61612560) |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2025-09-25 |