| NPI | 1285451682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP002763) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 37201) |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2025-02-19 |