| NPI | 1528478708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 201404306NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200241794RN) |
| 163W00000X Registered Nurse (Licence: WA RN 60372206) | |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2014-07-11 |