| NPI | 1477068575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP000386) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA GAA-NP000386) |
| 363L00000X Nurse Practitioner (Licence: NC 5010132) | |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2025-08-27 |