| NPI | 1356842207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 201908772NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201403349RN) |
| 163W00000X Registered Nurse (Licence: WA RN60474139) | |
| 363L00000X Nurse Practitioner (Licence: OR 201908772NP-PP) | |
| 363LF0000X Nurse Practitioner Family (Licence: WA AP61005863) | |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2021-09-01 |