| NPI | 1972727204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP001540) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP 1971362) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 20277) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2024-03-18 |