| NPI | 1093518664 |
|---|---|
| Other Name | N/A N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 16728-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 187079-30) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: WI 16728-33) | |
| Enumeration Date | 2025-03-29 |
| Last Update Date | 2025-04-30 |