| NPI | 1306596382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN302261) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 302261) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F348650) | |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2023-05-23 |