| NPI | 1295391852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61193079) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60486763) |
| 163W00000X Registered Nurse (Licence: OR 201403529RN) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 202105802NP-PP) | |
| Enumeration Date | 2019-05-18 |
| Last Update Date | 2022-08-16 |