| NPI | 1891545513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP033907) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN327500) |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2025-12-16 |