NPI | 1043549116 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60415575) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 095007180RN) |
163W00000X Registered Nurse (Licence: WA 60130233) | |
363LF0000X Nurse Practitioner, Family (Licence: OR 201050197NP) | |
Enumeration Date | 2009-12-18 |
Last Update Date | 2020-06-26 |