| NPI | 1780454249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP002793) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R214543) |
| Enumeration Date | 2024-01-05 |
| Last Update Date | 2025-10-18 |