| NPI | 1235536533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN121162) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN121162) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2024-07-27 |