| NPI | 1104227347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN188149) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: GA RN188149) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA RN188149) | |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2025-10-12 |