| NPI | 1497528723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN296926) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN296926) |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2024-06-05 |