| NPI | 1609220235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60865817) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA RN60232815) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR 201141451RN) | |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2018-09-19 |