| NPI | 1992229033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 7829-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 7829) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 7829) | |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2025-04-15 |