| NPI | 1245603844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP000049) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201508267NP-PP) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 901369) | |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2024-12-18 |