| NPI | 1083401202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC APN.30291) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 249066) |
| Enumeration Date | 2025-04-22 |
| Last Update Date | 2025-11-09 |