| NPI | 1932592409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10026954) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60641859) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2024-05-30 |