| NPI | 1013164771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95031871) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WY 30806.1182) |
| 163W00000X Registered Nurse (Licence: OH 343675) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201408154NP-PP) | |
| 163WH0200X Registered Nurse, Home Health (Licence: OH 343675) | |
| 207Q00000X Family Medicine (Licence: OR 201408154) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 0991779) | |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2025-10-14 |