| NPI | 1902562499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP003331) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1084572) |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2026-08-04 |