| NPI | 1407150949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201150017NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00147798) |
| 363L00000X Nurse Practitioner (Licence: WA AP60156749) | |
| Enumeration Date | 2010-12-24 |
| Last Update Date | 2020-09-28 |