| NPI | 1932094166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 17013-33) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: WI 24922530) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 1701333) | |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-08-21 |