| NPI | 1619261617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2026015960) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60819909) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2026-07-06 |