| NPI | 1114468832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP003610) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 20840) |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2025-08-06 |