| NPI | 1205217353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA ap60798028) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201501210NP-PP) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 201501210NP-PP) | |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2022-06-20 |