| NPI | 1417346552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95005361) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201500020NP-PP) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: ID NP-1524A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 20160773) | |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2023-01-17 |