| NPI | 1871891663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201150094NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60674291) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2021-12-17 |