| NPI | 1073112249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN124911) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 006385) |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2022-06-18 |