| NPI | 1699855544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30006275) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006275) |
| 363L00000X Nurse Practitioner (Licence: OR 201050150NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201050150NP) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2019-03-07 |