| NPI | 1407582059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA GAA-NP001516) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 32026) |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2024-06-24 |