| NPI | 1487853933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 4851) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 156751-030) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 4851-33) | |
| Enumeration Date | 2007-07-15 |
| Last Update Date | 2025-06-16 |