| NPI | 1013315167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN190875) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0001214-C-NP) |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2023-12-13 |