| NPI | 1144404153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 005003855) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP001434) |
| 363L00000X Nurse Practitioner (Licence: GA GAA-NP001434) | |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2025-12-11 |