| NPI | 1912675810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP.61536780-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209023416) |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2026-08-18 |