| 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) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0104238-C-NP) | |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2025-04-22 |