| NPI | 1891485330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95031443) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61187286) |
| 163W00000X Registered Nurse (Licence: CA 95144334) | |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2025-02-04 |