| NPI | 1184118580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 17937-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 221392-30) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2026-03-09 |