| NPI | 1245871763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN330929) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 23255) |
| Enumeration Date | 2019-10-06 |
| Last Update Date | 2024-10-09 |