| NPI | 1710232137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60805014) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201808710NP-PP) |
| 363L00000X Nurse Practitioner (Licence: MT APRN-160095) | |
| 363L00000X Nurse Practitioner (Licence: AZ AP10606) | |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2025-12-08 |