| NPI | 1215163068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201050093NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200641858RN) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60183157) | |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2016-06-27 |