| NPI | 1053065730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 31307) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP000672) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 133484) | |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2023-04-11 |