| NPI | 1144975848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP000790) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 25765) |
| Enumeration Date | 2022-02-21 |
| Last Update Date | 2024-02-08 |