| NPI | 1417836396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 17382-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 164167) |
| Enumeration Date | 2025-08-27 |
| Last Update Date | 2025-09-04 |