| NPI | 1649830928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN163257) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA F04190450) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2020-12-11 |