NPI | 1487199881 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP002108) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 182999) |
Enumeration Date | 2016-12-21 |
Last Update Date | 2025-04-02 |