| NPI | 1518530716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10046190) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3245-0) |
| 363L00000X Nurse Practitioner (Licence: NV 889347) | |
| 363L00000X Nurse Practitioner (Licence: WA 70005420) | |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2025-12-22 |