| NPI | 1215509013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 28817) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN248553) |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2024-07-15 |