| NPI | 1184127169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61074664) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 2017076T8RN) |
| 363L00000X Nurse Practitioner (Licence: OR 201803923NP-PP) | |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2020-08-10 |