| NPI | 1437481769 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60628135) | 
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 990091) | 
| 363L00000X Nurse Practitioner (Licence: CO APN.0990091) | |
| 363L00000X Nurse Practitioner (Licence: WA AP60628135) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 305326) | |
| Enumeration Date | 2010-02-11 | 
| Last Update Date | 2025-10-10 |