NPI | 1124811302 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA GAA-NP003653) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 11039827) |
Enumeration Date | 2025-05-28 |
Last Update Date | 2025-07-11 |