| NPI | 1164288445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN292904) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA RN292904) |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2025-01-23 |