| NPI | 1558819052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 20364) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 377870) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP003737) | |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2025-10-07 |