| NPI | 1205543899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 13272) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 13272-33) |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2026-02-02 |