| NPI | 1831784164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA GAA-NP000979) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 1-0991822) |
| 363LF0000X Nurse Practitioner Family (Licence: AL 1-091822) | |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2023-02-02 |