| NPI | 1962040832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 55095) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP005219) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA GAA-NP005219) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 5024413) | |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2026-08-05 |