| NPI | 1558145722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP001604) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 34445) |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-10-20 |