| NPI | 1003683095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA NP002505) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 353196) |
| Enumeration Date | 2023-12-08 |
| Last Update Date | 2025-03-26 |