| NPI | 1164879243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 085819-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 255497) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN255497) | |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2021-08-20 |