| NPI | 1538658125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 103020) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9361352) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2025-09-03 |