| NPI | 1699545822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN287159) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: GA RN287159) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: GA RN287159) | |
| 261QP3300X Clinic/Center, Pain (Licence: GA RN287159) | |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2025-10-09 |