| NPI | 1306578711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA GAA-NP000646) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA GAA-NP000646) |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2025-03-19 |