| NPI | 1821970716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 17135-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 1100625) |
| Enumeration Date | 2025-07-22 |
| Last Update Date | 2025-09-18 |