| NPI | 1497213045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA 1497213045) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA RN223686) |
| Enumeration Date | 2019-03-02 |
| Last Update Date | 2025-11-04 |