| NPI | 1770986499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9276557) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP001523) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024194224) | |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2025-09-13 |