| NPI | 1932944519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 15514-33) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: WI 1551433) |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2025-09-16 |