| NPI | 1407448723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP001200) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-175770) |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2024-05-02 |