| NPI | 1336900828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA F01240757) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA 242830) |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2026-02-25 |