| NPI | 1306439112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 3-001056) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 906488) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 905795) | |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2025-09-29 |