| NPI | 1922704857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA GAA-NP002625) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AL 1-128734) |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2024-09-20 |