| NPI | 1023290368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 000030393N1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 000030393RN) |
| 163W00000X Registered Nurse (Licence: WA RN60051570) | |
| 363L00000X Nurse Practitioner (Licence: WA AP60051220) | |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2020-10-12 |