| NPI | 1528768686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN214516) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN214516) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA F10220788) | |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2024-07-02 |