| NPI | 1033605118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN247225) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 247225) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA 247255) | |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2022-09-19 |