| NPI | 1326356684 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 4168-33) | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA A139843) | 
| 207Q00000X Family Medicine (Licence: WI 4168-33) | |
| Enumeration Date | 2010-09-21 | 
| Last Update Date | 2025-07-03 |