| NPI | 1013199587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP001376) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD r184370) |
| 363L00000X Nurse Practitioner (Licence: MD R184370) | |
| 363L00000X Nurse Practitioner (Licence: GA GAA-NP001376) | |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2024-06-03 |