| NPI | 1366015422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA F07210213) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 11014722) |
| 163W00000X Registered Nurse (Licence: GA RN244872) | |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2024-11-20 |