| NPI | 1851023451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10010027) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61462618) |
| 163W00000X Registered Nurse (Licence: WA RN60946246) | |
| 163W00000X Registered Nurse (Licence: OR 10010027) | |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2023-12-15 |