| NPI | 1033608013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN226391) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A158679) |
| Enumeration Date | 2018-05-06 |
| Last Update Date | 2020-06-03 |