| NPI | 1679598023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 87057) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 1259) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2025-09-11 |