| NPI | 1982933776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 337525-1) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60410362) |
| 163WG0000X Registered Nurse, General Practice (Licence: NY 443891-1) | |
| 163W00000X Registered Nurse (Licence: WA RN60412640) | |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2026-02-11 |