| NPI | 1891101671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60650650) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171789) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 20150571NP-PP) | |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2021-07-06 |