| NPI | 1154104644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95040751) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95040751) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: WA 61070334) | |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2026-08-31 |