| NPI | 1548068174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 30550) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA APRN-NP307881) |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-11-18 |