| NPI | 1316678303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2023025357) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2018038256) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN313781) | |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2025-07-01 |