| NPI | 1942973144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA GAA-NP003464) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-107618) |
| 363LF0000X Nurse Practitioner Family (Licence: AL 1-107618) | |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2025-04-22 |