| NPI | 1184288615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA RN231087) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN231087) |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2023-05-04 |