| NPI | 1871381715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 2024103316) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4036572) |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-04-30 |