| NPI | 1205399474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN142457) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA RN142457) |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2019-06-18 |