| NPI | 1790307403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP002355) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 211669) |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2025-05-30 |