| NPI | 1245966597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202211370NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61448020) |
| 163W00000X Registered Nurse (Licence: OR 095000483RN) | |
| 363L00000X Nurse Practitioner (Licence: WA AP61448023) | |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2024-01-22 |