| NPI | 1205541471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP001827) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 266177) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 34856) | |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2025-04-15 |