| NPI | 1013753904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA GAA-NP002533) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 293656) |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-09-09 |