| NPI | 1497897466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201703079) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201703078) |
| 163W00000X Registered Nurse (Licence: WA RN60743697) | |
| 363L00000X Nurse Practitioner (Licence: WA AP60744184) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2021-12-29 |