| NPI | 1316728611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP001698) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024188046) |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2023-10-12 |