| NPI | 1083141196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201804013NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN-60617080) |
| 163W00000X Registered Nurse (Licence: OR 200540989-RN) | |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2024-04-16 |