| NPI | 1396268074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ND R32611) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND 202825) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2025-06-26 |