| NPI | 1104364173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN165031) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN165031) |
| 163WG0000X Registered Nurse, General Practice (Licence: GA RN165031) | |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2023-03-23 |