| NPI | 1255885109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013947) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5013947) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN103643) | |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2022-08-17 |