| NPI | 1457812059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 16736-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 242332) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2025-06-19 |