| NPI | 1194208751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN197952) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA F08180511) |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2019-04-29 |