| NPI | 1205429941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA GAA-NPO00690) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: MO 2016043488) |
| Enumeration Date | 2021-02-13 |
| Last Update Date | 2024-07-16 |