| NPI | 1356816383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2021036671) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: WA AP60898543) |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2026-06-01 |