| NPI | 1396935870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200850101NP FNP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200040575RN) |
| 163W00000X Registered Nurse (Licence: WA RN60180981) | |
| 363L00000X Nurse Practitioner (Licence: WA AP60180982) | |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2018-03-17 |