| NPI | 1962436162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 1346) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 1346-33) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2025-08-22 |