| NPI | 1073310165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP003654) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL aprn11038622) |
| 363L00000X Nurse Practitioner (Licence: GA GAA-NP003654) | |
| Enumeration Date | 2025-02-26 |
| Last Update Date | 2025-08-20 |