| NPI | 1184207573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN185702) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: GA RN185702) |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2022-07-11 |