| NPI | 1750535100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 200850166NP) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: OR 095006299RN) |
| 163WH0200X Registered Nurse Home Health (Licence: WA RN00120084) | |
| 363LF0000X Nurse Practitioner Family (Licence: WA AP60000912) | |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2013-01-22 |