| NPI | 1447654132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA GAA-NP002236) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 19097) |
| 363L00000X Nurse Practitioner (Licence: TN 19097) | |
| 208600000X Surgery (Licence: GA GAA-NP002236) | |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2025-01-23 |