| NPI | 1275198400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN228794) |
| Additional Taxonomies | 208D00000X General Practice (Licence: GA RN228794) |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2022-09-28 |