| NPI | 1861202020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 16554) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 16554-33) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2025-01-09 |
| Last Update Date | 2025-07-07 |