| NPI | 1316612245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 11128-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD AC007413) |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2026-05-04 |