| NPI | 1518640580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP001552) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 34390) |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2023-11-09 |