| NPI | 1104396209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 22337) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA NP000462) |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2025-10-28 |