| NPI | 1104355908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN192279) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: GA RN192279) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2025-12-01 |