| NPI | 1972939353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI 3627-0) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI 105995-0) |
| 163W00000X Registered Nurse (Licence: GA RN293698) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 3-000104) | |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2022-08-08 |