| NPI | 1376973354 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202006669NP) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 813274) | 
| 163W00000X Registered Nurse (Licence: OR 202006210RN) | |
| 163W00000X Registered Nurse (Licence: NY RN.503672) | |
| 163W00000X Registered Nurse (Licence: WA RN.503672) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95013632) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11011790) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY APRN.CNP.0030855) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA APRN.CNP.0030855) | |
| Enumeration Date | 2013-11-12 | 
| Last Update Date | 2024-06-06 |