| NPI | 1811408818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-175965) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 191023) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2025-10-09 |