| NPI | 1336792928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN262697) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 23059) |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2023-04-11 |