| NPI | 1255817169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN197578) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 22339) |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2023-02-07 |