| NPI | 1902237613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202202710NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201243946RN) |
| 163W00000X Registered Nurse (Licence: WA RN 60385221) | |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2022-04-29 |