| NPI | 1861031213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202211724NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA 61331694) |
| 363LS0200X Nurse Practitioner, School (Licence: OR 201140103RN) | |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2024-04-12 |