| NPI | 1134542913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201405483NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP 60497309) |
| 163W00000X Registered Nurse (Licence: WA RN60195073) | |
| 163W00000X Registered Nurse (Licence: OR 201394473RN) | |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2015-07-29 |