| NPI | 1306883269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP001006) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R153337) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-188098) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024167334) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2023-11-28 |