| NPI | 1376951749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA N362070964) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200242423RN) |
| 163W00000X Registered Nurse (Licence: WA RN00168093) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 202003287NP-PP) | |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2020-07-27 |