| NPI | 1669209011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 1591533) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 15915-33) |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2025-09-18 |