| NPI | 1730456682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201500099NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60158012) |
| 163W00000X Registered Nurse (Licence: OR 201407500RN) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60244781) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ AP4972) | |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2023-09-15 |