| NPI | 1912619396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 33988) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11023440) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP001451) | |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2024-05-31 |