NPI | 1982978862 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201403161NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00147293) |
363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60479744) | |
163W00000X Registered Nurse (Licence: OR 200242201RN) | |
Enumeration Date | 2012-02-24 |
Last Update Date | 2023-11-22 |