| NPI | 1992111462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP003270) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS F06141419) |
| Enumeration Date | 2014-07-06 |
| Last Update Date | 2025-06-18 |