| NPI | 1316503808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA GAA-NP001221) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AL F04190105) |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2023-03-21 |