| NPI | 1659700193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60432626) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201350114NP) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2014-06-03 |