| NPI | 1235021650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 17858-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 13039) |
| Enumeration Date | 2025-07-18 |
| Last Update Date | 2026-04-06 |