| NPI | 1215598131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 216946) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN225881) |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2023-06-21 |