| NPI | 1982185344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202007166NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60282754) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2020-11-03 |