| NPI | 1548257785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 86) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 65234) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2025-09-11 |