| NPI | 1568919694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60934049) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201705913RN) |
| 163W00000X Registered Nurse (Licence: WA RN60454019) | |
| 363L00000X Nurse Practitioner (Licence: OR 201901742NP-PP) | |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2020-07-16 |