| NPI | 1154438919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30004237) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR OR081047211N3) |
| 363L00000X Nurse Practitioner (Licence: WA RN00062564) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2017-02-27 |