NPI | 1629219308 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201350057NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60054659) |
163W00000X Registered Nurse (Licence: OR 201243878RN) | |
163W00000X Registered Nurse (Licence: WA RN00172365) | |
Enumeration Date | 2009-03-10 |
Last Update Date | 2024-06-11 |