| NPI | 1487057758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 218975) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN218975) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2025-04-17 |