| NPI | 1700136462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60327359) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60158174) |
| 163W00000X Registered Nurse (Licence: OR 201242902RN) | |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2022-07-21 |