| NPI | 1992357958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60968535) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 10023469) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2025-10-21 |