| NPI | 1396462016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA F03250625) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 284548) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA 284548) | |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2025-08-12 |