| NPI | 1275781775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA NP248013) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 3284) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2025-10-23 |