| NPI | 1205454717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202009379NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61086689) |
| 163W00000X Registered Nurse (Licence: OR 201505727RN) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61086690) | |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2023-08-09 |