| NPI | 1295512069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA APRN-NP216281) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: GA RN216281) |
| 163W00000X Registered Nurse (Licence: GA RN216281) | |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2025-10-29 |