| NPI | 1184050486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN216682) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA NCO-000003) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2024-03-09 |