| NPI | 1164953675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN169512) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN269512) |
| Enumeration Date | 2017-03-26 |
| Last Update Date | 2024-04-11 |