| NPI | 1104481175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202210366NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201391227RN) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61198829) | |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2023-11-01 |