| NPI | 1093273872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-150755) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 13110) |
| 163W00000X Registered Nurse (Licence: AL 1-150755) | |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2025-12-15 |