| NPI | 1578055471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 21694) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 001663) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2025-10-15 |