| NPI | 1073267043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP001553) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11018065) |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2023-08-09 |