| NPI | 1669955993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP000538) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9313776) |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2022-05-25 |