| NPI | 1902798408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 241668) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: LA 241668) |
| 364S00000X Clinical Nurse Specialist (Licence: LA 241668) | |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: LA 241668) | |
| Enumeration Date | 2025-07-18 |
| Last Update Date | 2026-04-28 |