| NPI | 1760954051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA NCO-000001) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: GA RN216086) |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2021-03-12 |