| NPI | 1053927871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61144714) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201600553RN) |
| 163W00000X Registered Nurse (Licence: WA RN61060790) | |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2023-08-22 |