| NPI | 1174973036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95030420) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2379351) |
| 163W00000X Registered Nurse (Licence: WA RN60210603) | |
| 363L00000X Nurse Practitioner (Licence: WA AP60667625) | |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2024-10-11 |