| NPI | 1164318549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 2371282) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: ID 58334) |
| 163WC0400X Registered Nurse, Case Management (Licence: OR 202007769RN) | |
| 163WE0003X Registered Nurse, Emergency (Licence: CA 515734) | |
| Enumeration Date | 2025-06-13 |
| Last Update Date | 2025-12-09 |