| NPI | 1073903357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60730481) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200642784RN) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2023-06-06 |