| NPI | 1184353815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN332827) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP025780) |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2024-10-10 |