| NPI | 1255982450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP61489061) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61488999) |
| 163WE0003X Registered Nurse, Emergency (Licence: OK 125573) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 125573) | |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2024-01-30 |