| NPI | 1346940996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA F06212497) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN253327) |
| Enumeration Date | 2023-03-03 |
| Last Update Date | 2023-03-03 |