| NPI | 1205484250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 23297) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP003761) |
| 363L00000X Nurse Practitioner (Licence: NC 5022357) | |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2025-11-13 |