| NPI | 1437645892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95015059) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR 213554) |
| 363L00000X Nurse Practitioner (Licence: WA AP60872229) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP60872229) | |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2024-08-27 |