| NPI | 1912766320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA RN248344) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN248344) |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-04-23 |