| NPI | 1801748504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP70113072) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 10019225) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.1001459-NP) | |
| Enumeration Date | 2026-02-13 |
| Last Update Date | 2026-06-16 |