| NPI | 1093315848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN263661) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA F10201231) |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2022-03-07 |