| NPI | 1740707363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN286498) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-1348940) |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-138940) | |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2019-09-03 |