| NPI | 1912142746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60060145) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201150005) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201150005) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP60060145) | |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2011-04-22 |