| NPI | 1841638319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA RN60081824) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201143113RN) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2015-07-17 |