| NPI | 1558030080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11028821) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN244576) |
| 163W00000X Registered Nurse (Licence: FL 9353329) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN244576) | |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2024-04-19 |