| NPI | 1598051724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA F0611119) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN069200) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2025-10-09 |