| NPI | 1922600279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN118032) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: GA RN118032) |
| 163WG0600X Registered Nurse, Gerontology (Licence: GA RN118032) | |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2025-09-19 |