| NPI | 1013459031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 27300) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN231200) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2023-04-25 |