| NPI | 1023999133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 17494) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 242487) |
| Enumeration Date | 2025-09-08 |
| Last Update Date | 2025-09-29 |