| NPI | 1023690054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA APRN-NP276628) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: GA RN276628) |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2025-10-29 |