| NPI | 1972883973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 4572-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 4572-33) |
| 163W00000X Registered Nurse (Licence: WI 154808) | |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2026-03-20 |