| NPI | 1538935523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA NCO-000003) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN207880) |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2023-11-30 |