| NPI | 1043617608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201507844NP-PP) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR 200643248RN) |
| 163WE0003X Registered Nurse, Emergency (Licence: WA RN00150333) | |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2015-10-30 |