| NPI | 1407402373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN218326) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: GA RN218326) |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2020-10-09 |