| NPI | 1003704792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA 70180415-NP) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.1001015-NP) | |
| Enumeration Date | 2025-06-24 |
| Last Update Date | 2026-09-30 |