| NPI | 1104536176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5018869) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61356934) |
| 163W00000X Registered Nurse (Licence: OR 201504456RN) | |
| 163W00000X Registered Nurse (Licence: NC 300688) | |
| 363L00000X Nurse Practitioner (Licence: WA AP61362197) | |
| 363L00000X Nurse Practitioner (Licence: OR 202214474NP-PP) | |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2024-11-06 |