| NPI | 1508543380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN284429) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA F05231202) |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2024-07-30 |