| NPI | 1912263799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN200355) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN300255) |
| 163W00000X Registered Nurse (Licence: GA 593137) | |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2024-10-03 |