| NPI | 1558971770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 001471) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11008464) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 27165) | |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2024-08-29 |