| NPI | 1235873225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP001515) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11019052) |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2025-10-28 |