| NPI | 1720713597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA F07220753) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: GA RN26453) |
| 163W00000X Registered Nurse (Licence: GA RN26453) | |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2023-04-09 |