| NPI | 1265688600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201250076NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00124056) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60045673) | |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2021-11-30 |