| NPI | 1174932230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-132901) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-132901) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN241413) | |
| Enumeration Date | 2014-08-03 |
| Last Update Date | 2020-11-11 |