| NPI | 1245980903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP000830) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 911963) |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2022-06-16 |