| NPI | 1528694155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP000802) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 23575) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: SC 23575) | |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2024-03-19 |