| NPI | 1750144895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 15203-33) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: WI 232538-30) |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2024-04-02 |