| NPI | 1265990774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 8971848) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95076046) |
| 363L00000X Nurse Practitioner (Licence: CA NP95011472) | |
| 363L00000X Nurse Practitioner (Licence: WA AP61382055) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1179193) | |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2025-07-21 |