| NPI | 1285216879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP001101) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704372224) |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2023-01-18 |