| NPI | 1922457985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA NP240593) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN240593) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2025-11-10 |