| 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 |