| NPI | 1073251914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 12030-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 250979-30) |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2026-03-11 |