| NPI | 1912414384 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 25993) | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR 201709775NP) | 
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 267045) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11015286) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60825540) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201709775NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA 60825540) | |
| Enumeration Date | 2018-01-05 | 
| Last Update Date | 2025-08-14 |