| NPI | 1063983773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAANP000019) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9331226) |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2025-10-31 |