| NPI | 1013383876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN180798 NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 20451) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2023-04-17 |