| NPI | 1194339119 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN289282) | 
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: GA RN289282) | 
| Enumeration Date | 2020-09-08 | 
| Last Update Date | 2025-02-24 |