| NPI | 1336510205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN189849) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA RN189849) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2023-07-17 |