| NPI | 1003605098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP004034) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 1000807) |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-09-15 |