| NPI | 1013703107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA 242534) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: LA RN102908) |
| Enumeration Date | 2025-04-16 |
| Last Update Date | 2025-09-04 |