| NPI | 1891526695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10030535) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA 61594978) |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2024-08-13 |