| NPI | 1962601310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201503207NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30007760) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2020-09-24 |