| NPI | 1477152080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP001342) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11009864) |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2024-06-17 |