| NPI | 1174006878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201809507NP-PP) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: WA RN60277574) |
| 363L00000X Nurse Practitioner (Licence: WA AP60898509) | |
| 163W00000X Registered Nurse (Licence: OR 201240188RN) | |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2022-06-17 |