| NPI | 1013907708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 091006987N1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 091006987RN) |
| 163W00000X Registered Nurse (Licence: WA RN00145249) | |
| 363L00000X Nurse Practitioner (Licence: WA AP30006236) | |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2023-07-17 |