| NPI | 1083249189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11006056) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP70020804) |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2025-10-07 |