| NPI | 1740921303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 289935) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA 289935) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: GA 289935) | |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2023-11-27 |