| NPI | 1346120268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA APRN-NP283283) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 3-002650) |
| Enumeration Date | 2025-09-03 |
| Last Update Date | 2025-11-04 |