| NPI | 1659975092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 202211966NP-PP) |
| Additional Taxonomies | 163WI0500X Registered Nurse Infusion Therapy (Licence: OR 201902359RN) |
| 363L00000X Nurse Practitioner (Licence: OR 202211966NP-PP) | |
| 363L00000X Nurse Practitioner (Licence: WA 61344536) | |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2022-11-03 |