| NPI | 1053930347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN314619) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2336138) |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2022-11-28 |