| NPI | 1750869814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-128020) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-128020) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP002333) | |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2025-11-04 |