| NPI | 1861924516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95035040) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95415429) |
| 163W00000X Registered Nurse (Licence: WA RN60666816) | |
| 363LF0000X Nurse Practitioner Family (Licence: WA AP60782216) | |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2025-06-24 |