| NPI | 1063901288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN232748) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN232748) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2023-08-02 |