| NPI | 1124774336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN168882) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: GA 1688882) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA 1688882) | |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2024-02-20 |