| NPI | 1063690907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 3521) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN164422) |
| Enumeration Date | 2008-02-02 |
| Last Update Date | 2024-02-12 |