| NPI | 1003670399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11031083) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP002651) |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 3-002014) | |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2025-10-28 |