| NPI | 1073180147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP000184) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11012171) |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-06-08 |