| NPI | 1891402269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR APRNNP10004723) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61368513) |
| Enumeration Date | 2022-11-03 |
| Last Update Date | 2023-09-07 |