| NPI | 1194352716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 12157-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 138888-30) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2026-09-14 |