| NPI | 1376852350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95029154) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA ap60184982) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA ap60184982) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA ap60184982) | |
| 363L00000X Nurse Practitioner (Licence: WA AP60184982) | |
| 363LC1500X Nurse Practitioner, Community Health (Licence: WA ap60184982) | |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2026-01-26 |