| NPI | 1891161865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 884794) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60604337) |
| 363L00000X Nurse Practitioner (Licence: WA RN60072442) | |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2025-10-09 |