| NPI | 1124660659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN165381) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA RN165381) |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2023-05-01 |