| NPI | 1255784542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP001841) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28171578A) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2024-01-29 |