| NPI | 1043729932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN323705) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 5423) |
| Enumeration Date | 2017-09-24 |
| Last Update Date | 2024-10-29 |