| NPI | 1558153502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA F12250591) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 312954) |
| Enumeration Date | 2025-05-17 |
| Last Update Date | 2025-12-29 |