| NPI | 1194480541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP000506) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 234893) |
| 363L00000X Nurse Practitioner (Licence: GA GAA-NP000506) | |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2024-04-30 |