| NPI | 1730230152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 200450139NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP13179) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30004942) | |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2026-04-16 |