| NPI | 1760246672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 29016) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5020860) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP002526) | |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-09-19 |