| NPI | 1891006623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2010032764) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MO 2006020331) |
| Enumeration Date | 2010-06-26 |
| Last Update Date | 2025-08-13 |