| NPI | 1407109267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN195025) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA NCO-000001) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2023-04-06 |