| NPI | 1033691118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN206881) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: GA NCO-000001) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2023-08-01 |