| NPI | 1194345843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN259160) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA F06220095) |
| 163W00000X Registered Nurse (Licence: GA RN259160) | |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2022-06-15 |