| NPI | 1942901061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP001315) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 33199) |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2024-12-13 |