| NPI | 1942886676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP000243) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 28244) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2024-03-08 |