| NPI | 1235668153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN307702) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017016289) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2024-03-27 |