| NPI | 1386487890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA GAA-NP002402) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: SC 218872) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP002402) | |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-08-20 |