| NPI | 1912257015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201504873NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60125916) |
| 163WC1500X Registered Nurse, Community Health (Licence: OR 201241473) | |
| Enumeration Date | 2012-09-16 |
| Last Update Date | 2025-08-14 |