| NPI | 1386071264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95024184) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60534589) |
| 163W00000X Registered Nurse (Licence: NY 672922) | |
| 163W00000X Registered Nurse (Licence: CA 95039332) | |
| Enumeration Date | 2013-10-09 |
| Last Update Date | 2025-06-16 |