| NPI | 1942036850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP032070) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: PA RN656414) |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2025-08-10 |