| NPI | 1750929972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 9748-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 98981-30) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI F08191041) | |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2025-02-17 |