| NPI | 1063028793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN158350) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA RN158350) |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2023-07-17 |