| NPI | 1790197283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP000530) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28103222A) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2022-01-04 |