| NPI | 1033712716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA F07200095) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 3-003028) |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2026-04-29 |