| NPI | 1124914387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: NM RN87115) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM APRN85856) |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-10-15 |