| NPI | 1164061032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 23112) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN289999) |
| Enumeration Date | 2019-12-24 |
| Last Update Date | 2022-11-08 |