| NPI | 1750060851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10028458) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 202100354RN) |
| 163W00000X Registered Nurse (Licence: WA RN60445600) | |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2024-07-30 |