| NPI | 1457180150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 230168) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11011334) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 23594) | |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2024-07-31 |