| NPI | 1053198218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 27480) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA GAA-NP001626) |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2026-06-15 |