| NPI | 1588060636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178414) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024178414) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95009213) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60511741) | |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2026-07-28 |