| NPI | 1255148656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 16303) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: WI 256531-30) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 16303-33) | |
| Enumeration Date | 2024-12-18 |
| Last Update Date | 2025-08-20 |