| NPI | 1346667128 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61132472)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0990964-NP)  | 
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MI 4704431031)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-195145)  | |
| Enumeration Date | 2014-03-18 | 
| Last Update Date | 2025-10-28 |