| NPI | 1245854165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95038256) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 242012) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA 61302790) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: DC NP500339167) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 10007031) | |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2026-04-06 |