| 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 |