| NPI | 1699175828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61486567) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 10023030) |
| 163W00000X Registered Nurse (Licence: CO 1624928) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10023030) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ID 79482) | |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2024-06-13 |