| NPI | 1447402516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95007020) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60052882) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172238) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 4520) | |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2022-07-21 |