| NPI | 1992869051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN116927) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AL 1-034411) |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-034411) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-27 |