| NPI | 1326733114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN242451) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN242451) |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: GA RN242451) | |
| Enumeration Date | 2023-04-07 |
| Last Update Date | 2024-08-11 |