| NPI | 1215671524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95020322) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11016112) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10052202) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA 70093455) | |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2026-04-02 |