| NPI | 1255038469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN170006) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA F02230367) |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2023-02-08 |