| NPI | 1922413830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 5839-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 5839) |
| 163W00000X Registered Nurse (Licence: WI 168567) | |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2025-11-04 |