| NPI | 1538309687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10036540) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10036540) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0990129) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA 70127714-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO NP-990129) | |
| 163W00000X Registered Nurse (Licence: CO 181628) | |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2026-06-15 |