| NPI | 1457808073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA NP339530) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95035832) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2025-11-13 |