| NPI | 1841997095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 13843) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 13843-33) |
| 163W00000X Registered Nurse (Licence: WI 235821-30) | |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2024-10-29 |