| NPI | 1891174546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201407295NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN60578716) |
| 363L00000X Nurse Practitioner (Licence: MT 132704) | |
| 363L00000X Nurse Practitioner (Licence: WA AP60578720) | |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2023-10-30 |