| NPI | 1972162451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP005390) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP141786) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2026-10-06 |