| NPI | 1962925628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP031851) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: DE L1-0050652) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2025-01-10 |