| NPI | 1386229839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA NCO-000003) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: GA RN241909) |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2021-03-16 |