| NPI | 1588558902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 30538) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: SC 245169) |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-09-29 |