| NPI | 1225501703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN216690) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA F07180059) |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2023-06-14 |