| NPI | 1104342294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP003539) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 30240) |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-122464) | |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2025-06-26 |