| NPI | 1386127744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN106395) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 106395) |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2023-01-25 |