| NPI | 1962922088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 12494827-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95129038) |
| 363L00000X Nurse Practitioner (Licence: UT 12494827-4405) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95007201) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 202211106NP-PP) | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2024-08-12 |