NPI | 1609314376 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN220515) |
Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: GA F01170949) |
Enumeration Date | 2017-02-02 |
Last Update Date | 2021-05-05 |