| NPI | 1740839513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 182376) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND 202873) |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2026-07-30 |