| NPI | 1396311015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN246582) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 238397) |
| 163W00000X Registered Nurse (Licence: GA 246585) | |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2022-07-07 |