| NPI | 1649673856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP 60679769) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR 201043577RN) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2016-08-16 |