| NPI | 1073276002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN216192) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 25490) |
| Enumeration Date | 2021-10-17 |
| Last Update Date | 2024-12-18 |