| NPI | 1912414384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201709775NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 267045) |
| 207Q00000X Family Medicine (Licence: OR 201709775NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11015286) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA 60825540) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60825540) | |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2021-12-10 |