| NPI | 1235727066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 10394-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 219549) |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2025-03-21 |