| NPI | 1093552309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 15497-33) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: WI 15497-33) |
| Enumeration Date | 2024-07-12 |
| Last Update Date | 2025-06-16 |