| NPI | 1447820626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 11053) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 11053-33) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2025-07-08 |