| NPI | 1013449156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN277137) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM CNP-03194) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2021-08-31 |