| NPI | 1457126617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA np001668) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11026658) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 27787) | |
| Enumeration Date | 2023-11-17 |
| Last Update Date | 2023-11-17 |