| NPI | 1104234749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN218993) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA RN218993) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2018-05-16 |