| NPI | 1932876893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 251248) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA 251248) |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2025-07-11 |