| NPI | 1093393951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10031339) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61614580) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95016674) | |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2024-11-23 |