| NPI | 1184238396 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP002489) | 
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MS 904477) | 
| Enumeration Date | 2020-09-04 | 
| Last Update Date | 2024-09-18 |