| NPI | 1114386307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN146147) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN147136) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2020-12-10 |