| NPI | 1669293650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 16166-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 251548-30) |
| Enumeration Date | 2024-10-22 |
| Last Update Date | 2025-04-29 |