| NPI | 1053260794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 207744) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 10057128) |
| Enumeration Date | 2026-01-26 |
| Last Update Date | 2026-03-17 |