| NPI | 1518752062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 17070-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 248876-30) |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2025-08-01 |