| NPI | 1639616667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 13482-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 221615) |
| Enumeration Date | 2017-01-29 |
| Last Update Date | 2025-03-21 |