| NPI | 1033730130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN210991) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 27256) |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2024-09-12 |