| NPI | 1356751077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 240575) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60073819) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 202005264NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60476848) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 240575) | |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2020-08-12 |