| NPI | 1336607522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP001025) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11001658) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11001658) | |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2023-04-27 |