| NPI | 1356108344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP001915) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-143874) |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2025-03-20 |