| NPI | 1326211335 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN219044) | 
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: GA RN219044) | 
| 363LF0000X Nurse Practitioner, Family (Licence: GA F05190272) | |
| Enumeration Date | 2008-04-10 | 
| Last Update Date | 2025-05-29 |