| NPI | 1649096413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP003001) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 3-002178) |
| Enumeration Date | 2024-11-26 |
| Last Update Date | 2025-02-12 |